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Ultrasound Provides First Direct Evidence of Effect of Malaria on Fetal Growth

By MedImaging International staff writers
Posted on 29 Feb 2012

A study of nearly 3,800 pregnancies has provided the most accurate and direct evidence to date that malaria infection stunts early fetal growth.

Low birth weight is the most significant risk factor for neonatal mortality in developing countries. The research, conducted on the border of Thailand and Myanmar, emphasizes the importance of preventing malaria in pregnancy.

According to the World Malaria Report 2011, malaria killed an estimated 655,000 people in 2010. It is caused by parasites such as Plasmodium falciparum and P. vivax, which are injected into the bloodstream by infected mosquitoes.

Malaria is one of the most common parasitic infections to affect pregnancy. Earlier studies have suggested that infection with both P. falciparum and P. vivax malaria during pregnancy reduces birth weight whether or not maternal symptoms are present. However, these studies have been hampered by difficulties in estimating gestational age accurately and diagnosing malaria infection in early pregnancy.

Now, in a study published February 9, 2012, in the open access journal PLoS One, researchers from the Shoklo Malaria Research Unit (Tak, Thailand) on the border of Thailand and Myanmar, part of the Wellcome Trust-Mahidol University-Oxford University [UK] Tropical Medicine Research Program, have utilized ultrasound scans to provide the first direct evidence of the effect of malaria on fetal growth in pregnancies.

Antenatal ultrasound, which is required for dating pregnancy accurately, is becoming more widely available in developing countries. The technology also allows doctors or locally trained workers to measure the diameter of the fetus’s head. For infections that occur in early pregnancy, the researchers believe that the size of the head may be the most appropriate indicator of growth restriction.

The ultrasound scans revealed that the diameter of the average fetus’s head was significantly smaller when malaria infection occurred in the first half of pregnancy when compared to pregnancies unaffected by malaria. On average, at the mid-pregnancy ultrasound scan the fetuses’ heads were 2% smaller when affected by malaria. Even only one infection of treated P. falciparum and P. vivax malaria was linked with reduced fetal head diameter, irrespective of whether the woman had shown symptoms or not.

However, although a single early detected and well-treated malaria episode had an effect on fetal head size at mid-trimester, this was not seen at delivery, suggesting that early treatment with effective drugs may allow for growth to recover later in pregnancy.

“By using antenatal ultrasound screening, we have provided clear evidence that malaria infection affects the growth of a child in the womb, even when the infection is caught early and treated. This can increase the risk of miscarriage and affect the child’s health in later life,” explained Dr. Marcus Rijken, first author of the study.

“Strategies to prevent malaria in pregnancy have focused on the second half of pregnancy, when most of the fetal weight gain takes place, but our works suggests that we need to broaden our efforts to focus on the first trimester, too. We need to make sure that pregnant woman are educated about the risks of malaria in pregnancy and where possible in areas of high risk, offer preventative medication from early pregnancy onwards.”

Related Links:
Shoklo Malaria Research Unit

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58 (!!!!! 5488.1572723389): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739533 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739533 AND published='1' LIMIT 1

59 (!!!!! 3966.0930633545): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739533 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739533 AND published='1' LIMIT 1

60 (!!!!! 6226.0627746582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739533 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739533 AND published='1' LIMIT 1

61 (!!!!! 5478.1436920166): select cover from jos_number where journalid in (5) and cover is not null order by left(issue,2)+right(issue,2)*12 desc limit 1

62 (!!!!! 1878.9768218994): SELECT fid FROM jos_deeppockets WHERE id=294739533 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294739533 AND published='1' LIMIT 1

63 (!!!!! 11979.103088379): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=214 ORDER BY `ordering`

64 (!!!!! 11629.104614258): select jos_twitters.link from jos_twitters where cat=10

65 (!!!!! 11924.028396606): select jos_facebook.link from jos_facebook where cat=10

66 (!!!!! 7916.9273376465): select jos_google_plus.link from jos_google_plus where cat=10

67 (!!!!! 7913.1126403809): select jos_linkedin.link from jos_linkedin where cat=10

68 (!!!!! 7128.9539337158): SELECT fid FROM jos_deeppockets WHERE id=294739533 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294739533 AND published='1' LIMIT 1

69 (!!!!! 5098.819732666): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=214 ORDER BY `ordering`

70 (!!!!! 1040.9355163574): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294739533 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (!!!!! 1882.0762634277): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294739533 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (!!!!! 4685.8787536621): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (370.02563476562): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (!!!!! 2300.9777069092): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (199.0795135498): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (138.99803161621): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (324.96452331543): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (81.062316894531): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (497.10273742676): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 2727.0317077637): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294739533 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (65.088272094727): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294739533 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (113.96408081055): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (100.13580322266): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 2433.0615997314): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739533 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739533 AND published='1' LIMIT 1

105 (122.0703125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739533 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739533 AND published='1' LIMIT 1

106 (92.983245849609): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294739533 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (785.11238098145): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294739533 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 3934.8602294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739533 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739533 AND published='1' LIMIT 1

109 (102.99682617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739533 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739533 AND published='1' LIMIT 1

110 (!!!!! 1570.9400177002): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294739533 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (576.01928710938): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294739533 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 13015.985488892): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (!!!!! 4702.091217041): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (!!!!! 6953.0010223389): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739533 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739533 AND published='1' LIMIT 1

115 (!!!!! 7996.0823059082): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739533 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739533 AND published='1' LIMIT 1

116 (!!!!! 7776.9756317139): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739533 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739533 AND published='1' LIMIT 1

117 (!!!!! 7938.1465911865): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739533 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739533 AND published='1' LIMIT 1

118 (!!!!! 7687.0918273926): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739533 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739533 AND published='1' LIMIT 1

119 (!!!!! 7936.954498291): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739533 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739533 AND published='1' LIMIT 1

120 (!!!!! 7692.0986175537): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739533 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739533 AND published='1' LIMIT 1

121 (!!!!! 7925.9872436523): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739533 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739533 AND published='1' LIMIT 1

122 (!!!!! 4193.0675506592): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 84882.974624634): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

124 (633.95500183105): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294739533 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294739533 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 21970.987319946): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (54.836273193359): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (641.1075592041): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

128 (!!!!! 2327.9190063477): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

129 (118.01719665527): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

130 (103.95050048828): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

131 (316.14303588867): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

132 (56.028366088867): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

133 (51.975250244141): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

134 (37.908554077148): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

135 (509.02366638184): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739533 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (!!!!! 2589.9410247803): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739533 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (393.86749267578): SELECT name FROM jos_deeppockets WHERE id=214

138 (41.007995605469): SELECT name FROM jos_deeppockets WHERE id=214

139 (621.08039855957): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))214((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (!!!!! 2804.9945831299): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))214((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (!!!!! 1625.0610351562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739533 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739533 AND published='1' LIMIT 1

142 (!!!!! 2047.061920166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739533 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739533 AND published='1' LIMIT 1

143 (!!!!! 16145.944595337): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 4283.1897735596): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294739533 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (!!!!! 3951.0726928711): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294739533 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (638.00811767578): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739533 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739533 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (131.84547424316): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739533 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739533 AND published='1' LIMIT 1

149 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739533 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739533 AND published='1' LIMIT 1

150 (!!!!! 1514.9116516113): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

151 (96.08268737793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739533 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739533 AND published='1' LIMIT 1

152 (!!!!! 4236.9365692139): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739533 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739533 AND published='1' LIMIT 1

153 (698.80485534668): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294739533 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294739533 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (746.9654083252): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=214 or channel_id is null)

155 (62.942504882812): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=214 or channel_id is null)

156 (!!!!! 7894.0391540527): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (133.99124145508): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739533 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739533 AND published='1' LIMIT 1

158 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739533 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739533 AND published='1' LIMIT 1

159 (40.054321289062): select jos_twitters.link from jos_twitters where cat=10

160 (30.040740966797): select jos_facebook.link from jos_facebook where cat=10

161 (30.040740966797): select jos_google_plus.link from jos_google_plus where cat=10

162 (66.041946411133): select jos_linkedin.link from jos_linkedin where cat=10

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